South Dayton Hearing AIDS & Audiology, LLC

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

A00106 Issued in OH

Legal business name

SOUTH DAYTON HEARING AIDS & AUDIOLOGY, LLC

Practice address

1305 E Stroop Rd
Kettering, OH 45429

Phone

(937) 299-2004

Fax

(937) 299-0918

NPI assigned

Mar 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Thomas Carl Lolan, AUDNPI 1164568119

Title

Ma Faaa

Phone

(937) 299-2004

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas C Lolan, M.A., FAAA

  • Audiologist-Hearing Aid Fitter
  • Kettering, OH
  • NPI 1164568119
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1215069372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 E STROOP RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-299-2004",
            "fax_number": "937-299-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E STROOP RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-299-2004",
            "fax_number": "937-299-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DAYTON HEARING AIDS & AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "LOLAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "MA FAAA",
        "authorized_official_telephone_number": "937-299-2004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "A00106",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "A00106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0891227",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanna Sorg, PA-C
• Ashley Sorial
• Krizzia Krizzel Soriano, FNP
• Kira Star Soto
• South Community
• South Dayton Internist, Inc.
• South Dayton Pediatrics
• South Dayton Surgeons Inc
• South Dayton Urological Associates
• Kelly South

• Audiologist-Hearing Aid Fitter in Kettering, OH
• Providers in Kettering, OH by specialty
• Audiologist-Hearing Aid Fitter in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.